ALISSA NILES
NPI 1740879725
Counselor - Mental Health in Clovis, CA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since January 13, 2021

644 POLLASKY AVE STE 203, CLOVIS, CA 93612(559) 212-4377 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Alissa Niles NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISSA NILES (NPI 1740879725) is an individual mental health provider in Clovis, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1740879725

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALISSA NILES

Location Address644 POLLASKY AVE STE 203Clovis, CA 93612-1883

Mailing Address2465 Holly AveClovis, CA 93611-6559

Phone(559) 212-4377

Sole ProprietorNo

Enumeration DateJanuary 13, 2021

NPPES CertifiedJanuary 13, 2021

✔ NPI 1740879725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

644 POLLASKY AVE STE 203, Clovis, CA 93612

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Alissa Niles has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2026.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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